TAX ID|MS-DRG |FY 2022 Final Post-Acute DRG|FY 2022 Final Special Pay DRG|MDC|TYPE|MS-DRG Title|Weights|Geometric mean LOS|Arithmetic mean LOS|DRG Allowable Amount|Base Rate
582149128|001|No|No|PRE|SURG|HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC|28.9132|30.1|39.1|357367.15|12360.00
582149128|002|No|No|PRE|SURG|HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC|14.9701|15.4|18.2|185030.44|12360.00
582149128|003|Yes|No|PRE|SURG|ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE -  MOUTH AND NECK WITH MAJOR O.R. PROCEDURES|19.1055|22.4|30.2|236143.98|12360.00
582149128|004|Yes|No|PRE|SURG|TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE -  MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES|11.9225|20.0|24.6|147362.10|12360.00
582149128|005|No|No|PRE|SURG|LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT|10.2350|14.4|19.4|126504.60|12360.00
582149128|006|No|No|PRE|SURG|LIVER TRANSPLANT WITHOUT MCC|4.6964|7.5|8.1|58047.50|12360.00
582149128|007|No|No|PRE|SURG|LUNG TRANSPLANT|11.5800|17.4|20.8|143128.80|12360.00
582149128|008|No|No|PRE|SURG|SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT|5.4333|9.0|10.2|67155.59|12360.00
582149128|010|No|No|PRE|SURG|PANCREAS TRANSPLANT|3.6200|8.0|9.1|44743.20|12360.00
582149128|011|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE -  MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC|5.0214|10.9|13.8|62064.50|12360.00
582149128|012|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE -  MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC|3.8328|8.3|9.4|47373.41|12360.00
582149128|013|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE -  MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC|2.7238|6.0|6.8|33666.17|12360.00
582149128|014|No|No|PRE|MED|ALLOGENEIC BONE MARROW TRANSPLANT|10.6770|24.1|27.2|131967.72|12360.00
582149128|016|No|No|PRE|MED|AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC|6.7363|17.1|18.3|83260.67|12360.00
582149128|017|No|No|PRE|MED|AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC|4.8557|8.9|11.6|60016.45|12360.00
582149128|018|No|No|PRE|MED|CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES|37.4501|15.6|17.6|462883.24|12360.00
582149128|019|No|No|PRE|SURG|SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS|6.6797|11.0|12.9|82561.09|12360.00
582149128|020|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC|10.3370|12.7|16.1|127765.32|12360.00
582149128|021|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC|7.5435|10.0|12.3|93237.66|12360.00
582149128|022|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC|4.8428|4.0|5.8|59857.01|12360.00
582149128|023|Yes|Yes|01|SURG|CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR|5.6719|7.1|9.8|70104.68|12360.00
582149128|024|Yes|Yes|01|SURG|CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC|3.9390|4.1|5.2|48686.04|12360.00
582149128|025|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC|4.4974|6.6|8.8|55587.86|12360.00
582149128|026|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC|3.0620|3.8|5.3|37846.32|12360.00
582149128|027|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC|2.5143|1.9|2.5|31076.75|12360.00
582149128|028|Yes|Yes|01|SURG|SPINAL PROCEDURES WITH MCC|5.8231|9.3|12.2|71973.52|12360.00
582149128|029|Yes|Yes|01|SURG|SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS|3.2968|4.5|6.0|40748.45|12360.00
582149128|030|Yes|Yes|01|SURG|SPINAL PROCEDURES WITHOUT CC/MCC|2.3568|2.4|3.1|29130.05|12360.00
582149128|031|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITH MCC|4.3717|7.2|10.3|54034.21|12360.00
582149128|032|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITH CC|2.2165|3.0|4.3|27395.94|12360.00
582149128|033|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC|1.7222|1.7|2.2|21286.39|12360.00
582149128|034|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITH MCC|3.9781|4.7|7.0|49169.32|12360.00
582149128|035|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITH CC|2.3397|2.1|3.0|28918.69|12360.00
582149128|036|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC|1.8523|1.2|1.4|22894.43|12360.00
582149128|037|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITH MCC|3.2776|5.0|7.3|40511.14|12360.00
582149128|038|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITH CC|1.6588|2.1|3.0|20502.77|12360.00
582149128|039|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITHOUT CC/MCC|1.1391|1.2|1.4|14079.28|12360.00
582149128|040|Yes|Yes|01|SURG|PERIPHERAL -  CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC|3.8648|6.9|10.0|47768.93|12360.00
582149128|041|Yes|Yes|01|SURG|PERIPHERAL -  CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR|2.3497|3.9|4.9|29042.29|12360.00
582149128|042|Yes|Yes|01|SURG|PERIPHERAL -  CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC|1.9012|2.4|2.9|23498.83|12360.00
582149128|052|No|No|01|MED|SPINAL DISORDERS AND INJURIES WITH CC/MCC|1.8535|4.2|6.0|22909.26|12360.00
582149128|053|No|No|01|MED|SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC|1.1364|2.8|3.7|14045.90|12360.00
582149128|054|Yes|No|01|MED|NERVOUS SYSTEM NEOPLASMS WITH MCC|1.3683|3.8|5.2|16912.19|12360.00
582149128|055|Yes|No|01|MED|NERVOUS SYSTEM NEOPLASMS WITHOUT MCC|1.0446|3.0|4.1|12911.26|12360.00
582149128|056|Yes|No|01|MED|DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC|2.1953|5.5|8.3|27133.91|12360.00
582149128|057|Yes|No|01|MED|DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC|1.2675|3.9|5.8|15666.30|12360.00
582149128|058|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC|1.7378|4.9|7.1|21479.21|12360.00
582149128|059|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC|1.1273|3.6|4.6|13933.43|12360.00
582149128|060|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC|0.9177|3.0|3.6|11342.77|12360.00
582149128|061|No|No|01|MED|ISCHEMIC STROKE -  PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC|2.8912|4.7|6.2|35735.23|12360.00
582149128|062|No|No|01|MED|ISCHEMIC STROKE -  PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC|1.9883|3.2|3.7|24575.39|12360.00
582149128|063|No|No|01|MED|ISCHEMIC STROKE -  PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC|1.7097|2.3|2.6|21131.89|12360.00
582149128|064|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC|1.9189|4.4|6.1|23717.60|12360.00
582149128|065|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS|1.0200|2.9|3.6|12607.20|12360.00
582149128|066|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC|0.7116|2.0|2.4|8795.38|12360.00
582149128|067|No|No|01|MED|NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC|1.4258|3.3|4.4|17622.89|12360.00
582149128|068|No|No|01|MED|NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC|0.8889|2.1|2.6|10986.80|12360.00
582149128|069|No|No|01|MED|TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC|0.7871|2.1|2.5|9728.56|12360.00
582149128|070|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC|1.6796|4.5|6.2|20759.86|12360.00
582149128|071|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC|1.0118|3.3|4.4|12505.85|12360.00
582149128|072|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC|0.7717|2.3|2.9|9538.21|12360.00
582149128|073|No|No|01|MED|CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC|1.4529|3.7|5.1|17957.84|12360.00
582149128|074|No|No|01|MED|CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC|1.0190|2.9|3.6|12594.84|12360.00
582149128|075|No|No|01|MED|VIRAL MENINGITIS WITH CC/MCC|1.6270|4.7|6.1|20109.72|12360.00
582149128|076|No|No|01|MED|VIRAL MENINGITIS WITHOUT CC/MCC|0.9849|3.0|3.6|12173.36|12360.00
582149128|077|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITH MCC|1.5329|4.0|5.2|18946.64|12360.00
582149128|078|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITH CC|0.9499|2.8|3.5|11740.76|12360.00
582149128|079|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC|0.7288|2.0|2.4|9007.97|12360.00
582149128|080|No|No|01|MED|NONTRAUMATIC STUPOR AND COMA WITH MCC|2.0954|5.1|7.5|25899.14|12360.00
582149128|081|No|No|01|MED|NONTRAUMATIC STUPOR AND COMA WITHOUT MCC|0.7732|2.5|3.3|9556.75|12360.00
582149128|082|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC|2.2639|4.2|6.4|27981.80|12360.00
582149128|083|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC|1.3440|3.3|4.3|16611.84|12360.00
582149128|084|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC|0.9056|2.1|2.6|11193.22|12360.00
582149128|085|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC|2.3117|4.6|6.5|28572.61|12360.00
582149128|086|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC|1.2745|3.0|3.9|15752.82|12360.00
582149128|087|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC|0.8636|2.0|2.4|10674.10|12360.00
582149128|088|No|No|01|MED|CONCUSSION WITH MCC|1.4552|3.6|4.7|17986.27|12360.00
582149128|089|No|No|01|MED|CONCUSSION WITH CC|1.0635|2.7|3.3|13144.86|12360.00
582149128|090|No|No|01|MED|CONCUSSION WITHOUT CC/MCC|0.8546|1.9|2.3|10562.86|12360.00
582149128|091|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC|1.6508|4.2|5.8|20403.89|12360.00
582149128|092|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITH CC|0.9889|3.0|3.9|12222.80|12360.00
582149128|093|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC|0.7822|2.2|2.8|9667.99|12360.00
582149128|094|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC|3.6379|8.0|10.7|44964.44|12360.00
582149128|095|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC|2.5073|5.8|7.2|30990.23|12360.00
582149128|096|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC|2.3327|4.2|5.0|28832.17|12360.00
582149128|097|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC|3.7604|8.7|11.9|46478.54|12360.00
582149128|098|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC|2.1125|5.6|7.3|26110.50|12360.00
582149128|099|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC|1.4019|3.9|4.8|17327.48|12360.00
582149128|100|Yes|No|01|MED|SEIZURES WITH MCC|1.8764|4.3|6.0|23192.30|12360.00
582149128|101|Yes|No|01|MED|SEIZURES WITHOUT MCC|0.8884|2.6|3.4|10980.62|12360.00
582149128|102|No|No|01|MED|HEADACHES WITH MCC|1.1531|3.0|4.1|14252.32|12360.00
582149128|103|No|No|01|MED|HEADACHES WITHOUT MCC|0.8295|2.3|3.0|10252.62|12360.00
582149128|113|No|No|02|SURG|ORBITAL PROCEDURES WITH CC/MCC|2.1944|4.5|6.3|27122.78|12360.00
582149128|114|No|No|02|SURG|ORBITAL PROCEDURES WITHOUT CC/MCC|1.4476|2.3|2.8|17892.34|12360.00
582149128|115|No|No|02|SURG|EXTRAOCULAR PROCEDURES EXCEPT ORBIT|1.4566|3.5|4.5|18003.58|12360.00
582149128|116|No|No|02|SURG|INTRAOCULAR PROCEDURES WITH CC/MCC|1.8827|4.1|6.1|23270.17|12360.00
582149128|117|No|No|02|SURG|INTRAOCULAR PROCEDURES WITHOUT CC/MCC|1.0412|2.1|2.8|12869.23|12360.00
582149128|121|No|No|02|MED|ACUTE MAJOR EYE INFECTIONS WITH CC/MCC|1.1906|4.2|5.5|14715.82|12360.00
582149128|122|No|No|02|MED|ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC|0.6455|3.0|3.8|7978.38|12360.00
582149128|123|No|No|02|MED|NEUROLOGICAL EYE DISORDERS|0.7668|2.0|2.5|9477.65|12360.00
582149128|124|No|No|02|MED|OTHER DISORDERS OF THE EYE WITH MCC|1.4020|3.7|5.1|17328.72|12360.00
582149128|125|No|No|02|MED|OTHER DISORDERS OF THE EYE WITHOUT MCC|0.8370|2.5|3.3|10345.32|12360.00
582149128|135|No|No|03|SURG|SINUS AND MASTOID PROCEDURES WITH CC/MCC|2.1435|4.0|5.7|26493.66|12360.00
582149128|136|No|No|03|SURG|SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC|1.2555|1.6|2.2|15517.98|12360.00
582149128|137|No|No|03|SURG|MOUTH PROCEDURES WITH CC/MCC|1.5097|3.7|5.0|18659.89|12360.00
582149128|138|No|No|03|SURG|MOUTH PROCEDURES WITHOUT CC/MCC|0.8565|1.9|2.4|10586.34|12360.00
582149128|139|No|No|03|SURG|SALIVARY GLAND PROCEDURES|1.2341|2.3|3.2|15253.48|12360.00
582149128|140|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITH MCC|3.9779|7.0|9.2|49166.84|12360.00
582149128|141|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITH CC|2.2061|3.3|4.4|27267.40|12360.00
582149128|142|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC|1.6051|2.1|2.7|19839.04|12360.00
582149128|143|No|No|03|SURG|OTHER EAR -  NOSE -  MOUTH AND THROAT O.R. PROCEDURES WITH MCC|2.9798|5.8|8.0|36830.33|12360.00
582149128|144|No|No|03|SURG|OTHER EAR -  NOSE -  MOUTH AND THROAT O.R. PROCEDURES WITH CC|1.7615|3.1|4.2|21772.14|12360.00
582149128|145|No|No|03|SURG|OTHER EAR -  NOSE -  MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC|1.2246|1.9|2.4|15136.06|12360.00
582149128|146|No|No|03|MED|EAR -  NOSE -  MOUTH AND THROAT MALIGNANCY WITH MCC|2.0411|5.1|7.4|25228.00|12360.00
582149128|147|No|No|03|MED|EAR -  NOSE -  MOUTH AND THROAT MALIGNANCY WITH CC|1.3011|3.4|4.9|16081.60|12360.00
582149128|148|No|No|03|MED|EAR -  NOSE -  MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC|0.7870|2.2|3.0|9727.32|12360.00
582149128|149|No|No|03|MED|DYSEQUILIBRIUM|0.7370|2.0|2.4|9109.32|12360.00
582149128|150|No|No|03|MED|EPISTAXIS WITH MCC|1.3275|3.4|4.6|16407.90|12360.00
582149128|151|No|No|03|MED|EPISTAXIS WITHOUT MCC|0.7384|2.1|2.6|9126.62|12360.00
582149128|152|No|No|03|MED|OTITIS MEDIA AND URI WITH MCC|1.0805|3.1|4.0|13354.98|12360.00
582149128|153|No|No|03|MED|OTITIS MEDIA AND URI WITHOUT MCC|0.7132|2.3|2.8|8815.15|12360.00
582149128|154|No|No|03|MED|OTHER EAR -  NOSE -  MOUTH AND THROAT DIAGNOSES WITH MCC|1.5468|3.9|5.3|19118.45|12360.00
582149128|155|No|No|03|MED|OTHER EAR -  NOSE -  MOUTH AND THROAT DIAGNOSES WITH CC|0.9095|2.9|3.5|11241.42|12360.00
582149128|156|No|No|03|MED|OTHER EAR -  NOSE -  MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC|0.6584|2.1|2.5|8137.82|12360.00
582149128|157|No|No|03|MED|DENTAL AND ORAL DISEASES WITH MCC|1.5762|4.3|5.8|19481.83|12360.00
582149128|158|No|No|03|MED|DENTAL AND ORAL DISEASES WITH CC|0.9002|2.8|3.4|11126.47|12360.00
582149128|159|No|No|03|MED|DENTAL AND ORAL DISEASES WITHOUT CC/MCC|0.6631|2.1|2.4|8195.92|12360.00
582149128|163|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITH MCC|5.0068|9.2|11.6|61884.05|12360.00
582149128|164|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITH CC|2.6556|4.4|5.4|32823.22|12360.00
582149128|165|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITHOUT CC/MCC|1.9166|2.6|3.1|23689.18|12360.00
582149128|166|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC|3.7235|7.9|10.6|46022.46|12360.00
582149128|167|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC|1.8187|3.7|5.0|22479.13|12360.00
582149128|168|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.3544|2.0|2.5|16740.38|12360.00
582149128|175|Yes|No|04|MED|PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE|1.5460|4.1|5.1|19108.56|12360.00
582149128|176|Yes|No|04|MED|PULMONARY EMBOLISM WITHOUT MCC|0.8878|2.6|3.2|10973.21|12360.00
582149128|177|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC|1.8491|5.4|6.8|22854.88|12360.00
582149128|178|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC|1.2078|4.0|5.0|14928.41|12360.00
582149128|179|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC|0.8727|3.0|3.7|10786.57|12360.00
582149128|180|No|No|04|MED|RESPIRATORY NEOPLASMS WITH MCC|1.7399|4.9|6.4|21505.16|12360.00
582149128|181|No|No|04|MED|RESPIRATORY NEOPLASMS WITH CC|1.1201|3.3|4.2|13844.44|12360.00
582149128|182|No|No|04|MED|RESPIRATORY NEOPLASMS WITHOUT CC/MCC|0.7920|2.2|2.7|9789.12|12360.00
582149128|183|No|No|04|MED|MAJOR CHEST TRAUMA WITH MCC|1.5589|4.3|5.5|19268.00|12360.00
582149128|184|No|No|04|MED|MAJOR CHEST TRAUMA WITH CC|1.0409|3.1|3.7|12865.52|12360.00
582149128|185|No|No|04|MED|MAJOR CHEST TRAUMA WITHOUT CC/MCC|0.7749|2.4|2.8|9577.76|12360.00
582149128|186|Yes|No|04|MED|PLEURAL EFFUSION WITH MCC|1.5438|4.3|5.6|19081.37|12360.00
582149128|187|Yes|No|04|MED|PLEURAL EFFUSION WITH CC|1.0329|3.2|4.0|12766.64|12360.00
582149128|188|Yes|No|04|MED|PLEURAL EFFUSION WITHOUT CC/MCC|0.7295|2.4|3.0|9016.62|12360.00
582149128|189|No|No|04|MED|PULMONARY EDEMA AND RESPIRATORY FAILURE|1.2261|3.6|4.6|15154.60|12360.00
582149128|190|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC|1.1251|3.6|4.4|13906.24|12360.00
582149128|191|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC|0.8843|2.9|3.5|10929.95|12360.00
582149128|192|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC|0.6956|2.4|2.8|8597.62|12360.00
582149128|193|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITH MCC|1.3120|4.1|5.1|16216.32|12360.00
582149128|194|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITH CC|0.8639|3.1|3.7|10677.80|12360.00
582149128|195|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC|0.6658|2.5|2.9|8229.29|12360.00
582149128|196|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITH MCC|1.7386|4.8|6.4|21489.10|12360.00
582149128|197|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITH CC|1.0070|3.2|4.0|12446.52|12360.00
582149128|198|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC|0.7434|2.4|2.9|9188.42|12360.00
582149128|199|No|No|04|MED|PNEUMOTHORAX WITH MCC|1.7900|5.1|6.6|22124.40|12360.00
582149128|200|No|No|04|MED|PNEUMOTHORAX WITH CC|1.0765|3.2|4.0|13305.54|12360.00
582149128|201|No|No|04|MED|PNEUMOTHORAX WITHOUT CC/MCC|0.7096|2.3|2.9|8770.66|12360.00
582149128|202|No|No|04|MED|BRONCHITIS AND ASTHMA WITH CC/MCC|0.9670|3.0|3.7|11952.12|12360.00
582149128|203|No|No|04|MED|BRONCHITIS AND ASTHMA WITHOUT CC/MCC|0.7070|2.3|2.8|8738.52|12360.00
582149128|204|No|No|04|MED|RESPIRATORY SIGNS AND SYMPTOMS|0.7936|2.1|2.7|9808.90|12360.00
582149128|205|Yes|No|04|MED|OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC|1.6848|4.1|5.7|20824.13|12360.00
582149128|206|Yes|No|04|MED|OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC|0.8860|2.5|3.1|10950.96|12360.00
582149128|207|Yes|No|04|MED|RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS|5.7361|11.9|14.0|70898.20|12360.00
582149128|208|No|No|04|MED|RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS|2.5448|4.9|6.8|31453.73|12360.00
582149128|215|No|No|05|SURG|OTHER HEART ASSIST SYSTEM IMPLANT|10.5584|5.1|8.6|130501.82|12360.00
582149128|216|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC|10.0393|11.6|14.7|124085.75|12360.00
582149128|217|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC|6.4835|6.2|7.9|80136.06|12360.00
582149128|218|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC|6.1093|3.1|4.2|75510.95|12360.00
582149128|219|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC|8.0576|8.9|10.9|99591.94|12360.00
582149128|220|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC|5.4053|5.9|6.5|66809.51|12360.00
582149128|221|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC|4.5799|3.8|4.4|56607.56|12360.00
582149128|222|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI -  HF OR SHOCK WITH MCC|7.9510|8.8|10.6|98274.36|12360.00
582149128|223|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI -  HF OR SHOCK WITHOUT MCC|5.7986|4.7|5.6|71670.70|12360.00
582149128|224|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI -  HF OR SHOCK WITH MCC|7.5191|7.6|9.3|92936.08|12360.00
582149128|225|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI -  HF OR SHOCK WITHOUT MCC|5.6178|4.2|4.9|69436.01|12360.00
582149128|226|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC|6.5650|6.1|7.8|81143.40|12360.00
582149128|227|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC|5.2121|3.0|3.9|64421.56|12360.00
582149128|228|No|No|05|SURG|OTHER CARDIOTHORACIC PROCEDURES WITH MCC|5.3303|7.0|9.6|65882.51|12360.00
582149128|229|No|No|05|SURG|OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC|3.4412|3.0|4.0|42533.23|12360.00
582149128|231|No|No|05|SURG|CORONARY BYPASS WITH PTCA WITH MCC|8.7159|10.8|12.5|107728.52|12360.00
582149128|232|No|No|05|SURG|CORONARY BYPASS WITH PTCA WITHOUT MCC|5.9538|7.7|8.5|73588.97|12360.00
582149128|233|Yes|No|05|SURG|CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC|7.9223|11.4|12.8|97919.63|12360.00
582149128|234|Yes|No|05|SURG|CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC|5.3360|8.1|8.6|65952.96|12360.00
582149128|235|Yes|No|05|SURG|CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC|6.1041|8.6|9.8|75446.68|12360.00
582149128|236|Yes|No|05|SURG|CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC|4.0970|6.0|6.4|50638.92|12360.00
582149128|239|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC|4.8160|10.4|13.2|59525.76|12360.00
582149128|240|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC|2.7888|7.0|8.6|34469.57|12360.00
582149128|241|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC|1.5924|4.4|5.2|19682.06|12360.00
582149128|242|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC|3.7276|5.2|6.7|46073.14|12360.00
582149128|243|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC|2.5185|3.1|3.8|31128.66|12360.00
582149128|244|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC|2.0633|2.2|2.6|25502.39|12360.00
582149128|245|No|No|05|SURG|AICD GENERATOR PROCEDURES|5.4178|4.7|6.5|66964.01|12360.00
582149128|246|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS|3.1243|3.9|5.2|38616.35|12360.00
582149128|247|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC|1.9732|2.1|2.5|24388.75|12360.00
582149128|248|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS|3.1622|4.5|6.0|39084.79|12360.00
582149128|249|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC|1.8737|2.2|2.7|23158.93|12360.00
582149128|250|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC|2.5218|3.7|5.0|31169.45|12360.00
582149128|251|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC|1.6584|2.1|2.6|20497.82|12360.00
582149128|252|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITH MCC|3.3257|5.2|7.5|41105.65|12360.00
582149128|253|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITH CC|2.6536|4.0|5.4|32798.50|12360.00
582149128|254|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITHOUT CC/MCC|1.8159|2.1|2.6|22444.52|12360.00
582149128|255|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC|2.5353|6.5|8.2|31336.31|12360.00
582149128|256|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC|1.6442|5.0|5.9|20322.31|12360.00
582149128|257|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC|1.1652|3.5|4.4|14401.87|12360.00
582149128|258|No|No|05|SURG|CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC|3.1681|5.0|6.6|39157.72|12360.00
582149128|259|No|No|05|SURG|CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC|2.0892|2.6|3.3|25822.51|12360.00
582149128|260|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC|3.5673|6.4|8.8|44091.83|12360.00
582149128|261|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC|1.9939|3.2|4.0|24644.60|12360.00
582149128|262|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC|1.7062|2.2|2.7|21088.63|12360.00
582149128|263|No|No|05|SURG|VEIN LIGATION AND STRIPPING|2.3132|4.4|6.5|28591.15|12360.00
582149128|264|Yes|No|05|SURG|OTHER CIRCULATORY SYSTEM O.R. PROCEDURES|3.2536|6.5|9.2|40214.50|12360.00
582149128|265|No|No|05|SURG|AICD LEAD PROCEDURES|3.3655|3.7|5.2|41597.58|12360.00
582149128|266|Yes|Yes|05|SURG|ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC|7.0479|3.2|5.2|87112.04|12360.00
582149128|267|Yes|Yes|05|SURG|ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC|5.5980|1.7|2.1|69191.28|12360.00
582149128|268|No|No|05|SURG|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC|6.9633|6.3|9.3|86066.39|12360.00
582149128|269|No|No|05|SURG|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC|4.3151|1.6|2.2|53334.64|12360.00
582149128|270|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC|5.1870|6.6|9.5|64111.32|12360.00
582149128|271|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC|3.5654|4.3|5.7|44068.34|12360.00
582149128|272|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC|2.6883|2.0|2.6|33227.39|12360.00
582149128|273|No|No|05|SURG|PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC|3.8267|4.3|6.1|47298.01|12360.00
582149128|274|No|No|05|SURG|PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC|3.2866|1.5|2.0|40622.38|12360.00
582149128|280|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION -  DISCHARGED ALIVE WITH MCC|1.6069|4.1|5.3|19861.28|12360.00
582149128|281|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION -  DISCHARGED ALIVE WITH CC|0.9306|2.5|3.0|11502.22|12360.00
582149128|282|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION -  DISCHARGED ALIVE WITHOUT CC/MCC|0.7261|1.8|2.1|8974.60|12360.00
582149128|283|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION -  EXPIRED WITH MCC|1.8647|2.9|4.8|23047.69|12360.00
582149128|284|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION -  EXPIRED WITH CC|0.7234|1.6|2.1|8941.22|12360.00
582149128|285|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION -  EXPIRED WITHOUT CC/MCC|0.4947|1.2|1.4|6114.49|12360.00
582149128|286|No|No|05|MED|CIRCULATORY DISORDERS EXCEPT AMI -  WITH CARDIAC CATHETERIZATION WITH MCC|2.1363|5.2|6.8|26404.67|12360.00
582149128|287|No|No|05|MED|CIRCULATORY DISORDERS EXCEPT AMI -  WITH CARDIAC CATHETERIZATION WITHOUT MCC|1.1151|2.2|2.7|13782.64|12360.00
582149128|288|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC|2.6854|7.1|9.3|33191.54|12360.00
582149128|289|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITH CC|1.6436|5.3|6.7|20314.90|12360.00
582149128|290|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC|1.0269|3.6|4.5|12692.48|12360.00
582149128|291|Yes|No|05|MED|HEART FAILURE AND SHOCK WITH MCC|1.2683|3.8|4.9|15676.19|12360.00
582149128|292|Yes|No|05|MED|HEART FAILURE AND SHOCK WITH CC|0.8635|3.0|3.8|10672.86|12360.00
582149128|293|Yes|No|05|MED|HEART FAILURE AND SHOCK WITHOUT CC/MCC|0.5899|2.2|2.6|7291.16|12360.00
582149128|294|No|No|05|MED|DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC|1.2828|3.3|4.4|15855.41|12360.00
582149128|295|No|No|05|MED|DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC|0.9841|2.6|3.3|12163.48|12360.00
582149128|296|No|No|05|MED|CARDIAC ARREST -  UNEXPLAINED WITH MCC|1.5952|2.0|3.2|19716.67|12360.00
582149128|297|No|No|05|MED|CARDIAC ARREST -  UNEXPLAINED WITH CC|0.7070|1.3|1.7|8738.52|12360.00
582149128|298|No|No|05|MED|CARDIAC ARREST -  UNEXPLAINED WITHOUT CC/MCC|0.4888|1.1|1.1|6041.57|12360.00
582149128|299|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITH MCC|1.5326|3.9|5.2|18942.94|12360.00
582149128|300|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITH CC|1.0438|3.1|4.0|12901.37|12360.00
582149128|301|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC|0.7431|2.2|2.7|9184.72|12360.00
582149128|302|No|No|05|MED|ATHEROSCLEROSIS WITH MCC|1.0948|2.7|3.7|13531.73|12360.00
582149128|303|No|No|05|MED|ATHEROSCLEROSIS WITHOUT MCC|0.6776|1.9|2.3|8375.14|12360.00
582149128|304|No|No|05|MED|HYPERTENSION WITH MCC|1.0970|2.9|3.8|13558.92|12360.00
582149128|305|No|No|05|MED|HYPERTENSION WITHOUT MCC|0.7399|2.2|2.7|9145.16|12360.00
582149128|306|No|No|05|MED|CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC|1.5074|3.7|5.1|18631.46|12360.00
582149128|307|No|No|05|MED|CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC|0.8704|2.4|3.0|10758.14|12360.00
582149128|308|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC|1.2009|3.5|4.5|14843.12|12360.00
582149128|309|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC|0.7505|2.4|2.9|9276.18|12360.00
582149128|310|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC|0.5592|1.9|2.2|6911.71|12360.00
582149128|311|No|No|05|MED|ANGINA PECTORIS|0.6985|1.9|2.4|8633.46|12360.00
582149128|312|No|No|05|MED|SYNCOPE AND COLLAPSE|0.8387|2.3|2.9|10366.33|12360.00
582149128|313|No|No|05|MED|CHEST PAIN|0.7214|1.7|2.1|8916.50|12360.00
582149128|314|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC|2.0847|4.8|6.6|25766.89|12360.00
582149128|315|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC|0.9734|2.8|3.6|12031.22|12360.00
582149128|316|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC|0.7234|1.9|2.3|8941.22|12360.00
582149128|319|No|No|05|SURG|OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC|4.3179|7.7|10.0|53369.24|12360.00
582149128|320|No|No|05|SURG|OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC|2.4056|2.4|3.5|29733.22|12360.00
582149128|326|Yes|No|06|SURG|STOMACH -  ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC|5.3163|9.5|13.0|65709.47|12360.00
582149128|327|Yes|No|06|SURG|STOMACH -  ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC|2.5647|4.6|6.3|31699.69|12360.00
582149128|328|Yes|No|06|SURG|STOMACH -  ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC|1.6669|2.3|2.9|20602.88|12360.00
582149128|329|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC|4.8862|10.3|13.0|60393.43|12360.00
582149128|330|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC|2.5493|5.7|6.9|31509.35|12360.00
582149128|331|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC|1.7105|3.3|3.8|21141.78|12360.00
582149128|332|Yes|No|06|SURG|RECTAL RESECTION WITH MCC|4.1615|7.9|10.2|51436.14|12360.00
582149128|333|Yes|No|06|SURG|RECTAL RESECTION WITH CC|2.1413|4.1|5.1|26466.47|12360.00
582149128|334|Yes|No|06|SURG|RECTAL RESECTION WITHOUT CC/MCC|1.6086|2.5|3.0|19882.30|12360.00
582149128|335|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITH MCC|3.9135|9.3|11.5|48370.86|12360.00
582149128|336|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITH CC|2.2913|5.9|7.3|28320.47|12360.00
582149128|337|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC|1.6373|3.7|4.6|20237.03|12360.00
582149128|338|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC|2.7973|6.4|8.1|34574.63|12360.00
582149128|339|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC|1.6974|4.0|5.0|20979.86|12360.00
582149128|340|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.2283|2.4|2.9|15181.79|12360.00
582149128|341|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC|2.3224|4.3|5.9|28704.86|12360.00
582149128|342|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC|1.4329|2.7|3.4|17710.64|12360.00
582149128|343|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.1086|1.7|2.0|13702.30|12360.00
582149128|344|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC|2.8184|7.0|9.2|34835.42|12360.00
582149128|345|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC|1.5788|4.3|5.4|19513.97|12360.00
582149128|346|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC|1.2754|3.1|3.6|15763.94|12360.00
582149128|347|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITH MCC|2.4647|5.6|7.5|30463.69|12360.00
582149128|348|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITH CC|1.3481|3.3|4.1|16662.52|12360.00
582149128|349|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC|0.9793|1.9|2.3|12104.15|12360.00
582149128|350|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC|2.4548|5.2|6.9|30341.33|12360.00
582149128|351|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC|1.4927|3.2|3.9|18449.77|12360.00
582149128|352|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC|1.1044|2.0|2.4|13650.38|12360.00
582149128|353|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC|3.0249|5.9|7.7|37387.76|12360.00
582149128|354|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC|1.7848|3.6|4.5|22060.13|12360.00
582149128|355|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC|1.3602|2.4|2.8|16812.07|12360.00
582149128|356|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC|4.3078|7.7|10.5|53244.41|12360.00
582149128|357|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC|2.2685|4.6|5.9|28038.66|12360.00
582149128|358|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.3491|2.8|3.5|16674.88|12360.00
582149128|368|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITH MCC|1.9491|4.6|6.0|24090.88|12360.00
582149128|369|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITH CC|1.0772|3.1|3.7|13314.19|12360.00
582149128|370|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC|0.7481|2.1|2.5|9246.52|12360.00
582149128|371|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC|1.7312|5.2|6.8|21397.63|12360.00
582149128|372|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC|1.0293|3.8|4.7|12722.15|12360.00
582149128|373|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC|0.7446|2.9|3.5|9203.26|12360.00
582149128|374|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITH MCC|2.0737|5.5|7.4|25630.93|12360.00
582149128|375|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITH CC|1.2076|3.6|4.6|14925.94|12360.00
582149128|376|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITHOUT CC/MCC|0.8989|2.5|3.1|11110.40|12360.00
582149128|377|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITH MCC|1.8012|4.4|5.7|22262.83|12360.00
582149128|378|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITH CC|0.9935|3.0|3.5|12279.66|12360.00
582149128|379|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC|0.6372|2.1|2.4|7875.79|12360.00
582149128|380|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITH MCC|1.8866|4.9|6.3|23318.38|12360.00
582149128|381|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITH CC|1.0593|3.2|3.9|13092.95|12360.00
582149128|382|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITHOUT CC/MCC|0.7686|2.4|2.9|9499.90|12360.00
582149128|383|No|No|06|MED|UNCOMPLICATED PEPTIC ULCER WITH MCC|1.3126|3.8|4.8|16223.74|12360.00
582149128|384|No|No|06|MED|UNCOMPLICATED PEPTIC ULCER WITHOUT MCC|0.8928|2.5|3.1|11035.01|12360.00
582149128|385|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITH MCC|1.6223|5.0|6.6|20051.63|12360.00
582149128|386|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITH CC|0.9951|3.5|4.3|12299.44|12360.00
582149128|387|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC|0.7147|2.6|3.2|8833.69|12360.00
582149128|388|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITH MCC|1.5146|4.7|6.1|18720.46|12360.00
582149128|389|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITH CC|0.8232|3.2|3.9|10174.75|12360.00
582149128|390|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC|0.5831|2.4|2.8|7207.12|12360.00
582149128|391|No|No|06|MED|ESOPHAGITIS -  GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC|1.2492|3.7|4.9|15440.11|12360.00
582149128|392|No|No|06|MED|ESOPHAGITIS -  GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC|0.7658|2.6|3.2|9465.29|12360.00
582149128|393|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC|1.6612|4.3|6.0|20532.43|12360.00
582149128|394|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC|0.9409|3.0|3.8|11629.52|12360.00
582149128|395|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC|0.6515|2.2|2.6|8052.54|12360.00
582149128|405|Yes|No|07|SURG|PANCREAS -  LIVER AND SHUNT PROCEDURES WITH MCC|5.7376|9.5|13.0|70916.74|12360.00
582149128|406|Yes|No|07|SURG|PANCREAS -  LIVER AND SHUNT PROCEDURES WITH CC|2.8809|5.1|6.4|35607.92|12360.00
582149128|407|Yes|No|07|SURG|PANCREAS -  LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC|2.1180|3.7|4.4|26178.48|12360.00
582149128|408|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC|3.7529|8.5|10.8|46385.84|12360.00
582149128|409|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC|2.1164|4.8|5.9|26158.70|12360.00
582149128|410|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC|1.5683|3.5|4.1|19384.19|12360.00
582149128|411|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITH MCC|3.7535|7.8|9.7|46393.26|12360.00
582149128|412|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITH CC|2.2775|5.0|6.2|28149.90|12360.00
582149128|413|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC|1.7309|3.6|4.1|21393.92|12360.00
582149128|414|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC|3.6283|8.0|9.9|44845.79|12360.00
582149128|415|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC|2.0317|4.9|5.8|25111.81|12360.00
582149128|416|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC|1.4223|3.0|3.6|17579.63|12360.00
582149128|417|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC|2.4243|5.1|6.4|29964.35|12360.00
582149128|418|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC|1.6890|3.5|4.2|20876.04|12360.00
582149128|419|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC|1.3153|2.4|2.8|16257.11|12360.00
582149128|420|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC|3.5165|7.3|10.2|43463.94|12360.00
582149128|421|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC|1.9075|3.8|5.2|23576.70|12360.00
582149128|422|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC|1.4536|2.7|3.3|17966.50|12360.00
582149128|423|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC|4.1859|8.4|11.8|51737.72|12360.00
582149128|424|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC|2.2841|4.7|6.3|28231.48|12360.00
582149128|425|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC|1.5427|2.2|2.8|19067.77|12360.00
582149128|432|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC|1.8808|4.7|6.4|23246.69|12360.00
582149128|433|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC|1.0299|3.3|4.2|12729.56|12360.00
582149128|434|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC|0.6207|2.2|2.8|7671.85|12360.00
582149128|435|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC|1.7534|4.8|6.3|21672.02|12360.00
582149128|436|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC|1.1215|3.4|4.3|13861.74|12360.00
582149128|437|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC|0.8959|2.4|3.0|11073.32|12360.00
582149128|438|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC|1.5978|4.6|6.2|19748.81|12360.00
582149128|439|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC|0.8452|3.1|3.8|10446.67|12360.00
582149128|440|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC|0.6063|2.4|2.8|7493.87|12360.00
582149128|441|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY -  CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC|1.8795|4.7|6.4|23230.62|12360.00
582149128|442|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY -  CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC|0.9300|3.2|4.0|11494.80|12360.00
582149128|443|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY -  CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC|0.6632|2.4|2.9|8197.15|12360.00
582149128|444|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITH MCC|1.6716|4.4|5.7|20660.98|12360.00
582149128|445|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITH CC|1.0775|3.0|3.8|13317.90|12360.00
582149128|446|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC|0.8166|2.2|2.6|10093.18|12360.00
582149128|453|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC|9.1880|7.5|9.6|113563.68|12360.00
582149128|454|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC|6.0931|3.8|4.4|75310.72|12360.00
582149128|455|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC|4.7813|2.4|2.8|59096.87|12360.00
582149128|456|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE -  MALIGNANCY -  INFECTION OR EXTENSIVE FUSIONS WITH MCC|8.6000|9.5|11.6|106296.00|12360.00
582149128|457|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE -  MALIGNANCY -  INFECTION OR EXTENSIVE FUSIONS WITH CC|6.4959|5.2|6.1|80289.32|12360.00
582149128|458|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE -  MALIGNANCY -  INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC|5.0076|3.0|3.4|61893.94|12360.00
582149128|459|Yes|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH MCC|6.7335|6.9|8.6|83226.06|12360.00
582149128|460|Yes|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC|3.9307|2.7|3.3|48583.45|12360.00
582149128|461|No|No|08|SURG|BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC|6.0817|6.7|9.1|75169.81|12360.00
582149128|462|No|No|08|SURG|BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC|3.1414|2.6|2.9|38827.70|12360.00
582149128|463|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC|5.3703|9.9|13.4|66376.91|12360.00
582149128|464|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC|2.9759|5.5|7.2|36782.12|12360.00
582149128|465|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|1.8441|2.6|3.4|22793.08|12360.00
582149128|466|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITH MCC|5.3457|7.0|8.8|66072.85|12360.00
582149128|467|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITH CC|3.5775|3.3|4.1|44217.90|12360.00
582149128|468|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC|2.8024|1.9|2.2|34637.66|12360.00
582149128|469|Yes|No|08|SURG|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT|3.0859|3.1|4.2|38141.72|12360.00
582149128|470|Yes|No|08|SURG|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC|1.9003|1.8|2.0|23487.71|12360.00
582149128|471|No|No|08|SURG|CERVICAL SPINAL FUSION WITH MCC|5.0197|6.8|9.0|62043.49|12360.00
582149128|472|No|No|08|SURG|CERVICAL SPINAL FUSION WITH CC|3.0537|2.5|3.4|37743.73|12360.00
582149128|473|No|No|08|SURG|CERVICAL SPINAL FUSION WITHOUT CC/MCC|2.5390|1.6|2.0|31382.04|12360.00
582149128|474|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC|4.0761|9.4|12.0|50380.60|12360.00
582149128|475|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC|2.1963|5.8|7.2|27146.27|12360.00
582149128|476|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|1.1603|2.9|3.5|14341.31|12360.00
582149128|477|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|3.3589|8.1|10.1|41516.00|12360.00
582149128|478|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC|2.3584|5.2|6.5|29149.82|12360.00
582149128|479|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC|1.8095|3.3|4.0|22365.42|12360.00
582149128|480|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC|3.0258|6.2|7.3|37398.89|12360.00
582149128|481|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC|2.0961|4.3|4.7|25907.80|12360.00
582149128|482|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC|1.6458|3.3|3.6|20342.09|12360.00
582149128|483|No|No|08|SURG|MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES|2.3857|1.4|1.7|29487.25|12360.00
582149128|485|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC|3.4096|8.0|9.6|42142.66|12360.00
582149128|486|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC|2.1494|5.2|6.1|26566.58|12360.00
582149128|487|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC|1.6402|3.6|4.1|20272.87|12360.00
582149128|488|Yes|No|08|SURG|KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC|1.9757|3.1|4.2|24419.65|12360.00
582149128|489|Yes|No|08|SURG|KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC|1.2982|1.7|2.1|16045.75|12360.00
582149128|492|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP -  FOOT AND FEMUR WITH MCC|3.4700|6.2|7.8|42889.20|12360.00
582149128|493|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP -  FOOT AND FEMUR WITH CC|2.3258|4.0|4.8|28746.89|12360.00
582149128|494|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP -  FOOT AND FEMUR WITHOUT CC/MCC|1.8517|2.7|3.2|22887.01|12360.00
582149128|495|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC|3.6419|7.3|9.6|45013.88|12360.00
582149128|496|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC|1.9864|3.4|4.5|24551.90|12360.00
582149128|497|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC|1.4515|1.8|2.3|17940.54|12360.00
582149128|498|No|No|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC|2.5837|5.6|8.0|31934.53|12360.00
582149128|499|No|No|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC|1.1990|2.0|2.5|14819.64|12360.00
582149128|500|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITH MCC|3.1895|7.4|9.8|39422.22|12360.00
582149128|501|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITH CC|1.7541|4.1|5.2|21680.68|12360.00
582149128|502|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITHOUT CC/MCC|1.3328|2.4|3.0|16473.41|12360.00
582149128|503|No|No|08|SURG|FOOT PROCEDURES WITH MCC|2.6406|6.8|8.6|32637.82|12360.00
582149128|504|No|No|08|SURG|FOOT PROCEDURES WITH CC|1.7750|4.0|4.9|21939.00|12360.00
582149128|505|No|No|08|SURG|FOOT PROCEDURES WITHOUT CC/MCC|1.7750|4.0|4.9|21939.00|12360.00
582149128|506|No|No|08|SURG|MAJOR THUMB OR JOINT PROCEDURES|1.4836|3.9|4.9|18337.30|12360.00
582149128|507|No|No|08|SURG|MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC|2.0609|4.7|5.9|25472.72|12360.00
582149128|508|No|No|08|SURG|MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC|1.4097|2.3|2.8|17423.89|12360.00
582149128|509|No|No|08|SURG|ARTHROSCOPY|1.6865|4.1|5.2|20845.14|12360.00
582149128|510|Yes|No|08|SURG|SHOULDER -  ELBOW OR FOREARM PROCEDURES -  EXCEPT MAJOR JOINT PROCEDURES WITH MCC|2.7437|4.9|6.1|33912.13|12360.00
582149128|511|Yes|No|08|SURG|SHOULDER -  ELBOW OR FOREARM PROCEDURES -  EXCEPT MAJOR JOINT PROCEDURES WITH CC|1.9674|3.4|4.0|24317.06|12360.00
582149128|512|Yes|No|08|SURG|SHOULDER -  ELBOW OR FOREARM PROCEDURES -  EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC|1.5545|2.1|2.5|19213.62|12360.00
582149128|513|No|No|08|SURG|HAND OR WRIST PROCEDURES -  EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC|1.5720|4.0|5.1|19429.92|12360.00
582149128|514|No|No|08|SURG|HAND OR WRIST PROCEDURES -  EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC|0.9991|2.4|2.8|12348.88|12360.00
582149128|515|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC|3.1406|6.4|8.2|38817.82|12360.00
582149128|516|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC|1.9628|3.7|4.6|24260.21|12360.00
582149128|517|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC|1.3982|2.1|2.6|17281.75|12360.00
582149128|518|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR|3.5869|4.2|6.4|44334.08|12360.00
582149128|519|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC|1.9600|3.2|4.1|24225.60|12360.00
582149128|520|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC|1.4183|2.0|2.4|17530.19|12360.00
582149128|521|Yes|Yes|08|SURG|HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC|3.0662|6.2|7.2|37898.23|12360.00
582149128|522|Yes|Yes|08|SURG|HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC|2.1894|4.1|4.5|27060.98|12360.00
582149128|533|Yes|No|08|MED|FRACTURES OF FEMUR WITH MCC|1.4162|4.0|5.2|17504.23|12360.00
582149128|534|Yes|No|08|MED|FRACTURES OF FEMUR WITHOUT MCC|0.7902|2.8|3.4|9766.87|12360.00
582149128|535|Yes|No|08|MED|FRACTURES OF HIP AND PELVIS WITH MCC|1.2328|3.8|4.7|15237.41|12360.00
582149128|536|Yes|No|08|MED|FRACTURES OF HIP AND PELVIS WITHOUT MCC|0.7717|2.9|3.3|9538.21|12360.00
582149128|537|No|No|08|MED|SPRAINS -  STRAINS -  AND DISLOCATIONS OF HIP -  PELVIS AND THIGH WITH CC/MCC|0.9354|3.1|3.7|11561.54|12360.00
582149128|538|No|No|08|MED|SPRAINS -  STRAINS -  AND DISLOCATIONS OF HIP -  PELVIS AND THIGH WITHOUT CC/MCC|0.7232|2.6|3.1|8938.75|12360.00
582149128|539|Yes|No|08|MED|OSTEOMYELITIS WITH MCC|1.9477|5.9|7.9|24073.57|12360.00
582149128|540|Yes|No|08|MED|OSTEOMYELITIS WITH CC|1.3016|4.3|5.7|16087.78|12360.00
582149128|541|Yes|No|08|MED|OSTEOMYELITIS WITHOUT CC/MCC|0.8432|3.1|3.9|10421.95|12360.00
582149128|542|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC|1.8092|5.0|6.7|22361.71|12360.00
582149128|543|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC|1.0452|3.5|4.3|12918.67|12360.00
582149128|544|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC|0.7777|2.8|3.2|9612.37|12360.00
582149128|545|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITH MCC|2.5031|5.5|7.9|30938.32|12360.00
582149128|546|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITH CC|1.2080|3.5|4.5|14930.88|12360.00
582149128|547|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|0.8336|2.5|3.1|10303.30|12360.00
582149128|548|No|No|08|MED|SEPTIC ARTHRITIS WITH MCC|2.0508|5.7|7.8|25347.89|12360.00
582149128|549|No|No|08|MED|SEPTIC ARTHRITIS WITH CC|1.2499|4.0|5.2|15448.76|12360.00
582149128|550|No|No|08|MED|SEPTIC ARTHRITIS WITHOUT CC/MCC|0.8789|3.0|3.5|10863.20|12360.00
582149128|551|Yes|No|08|MED|MEDICAL BACK PROBLEMS WITH MCC|1.6274|4.3|5.7|20114.66|12360.00
582149128|552|Yes|No|08|MED|MEDICAL BACK PROBLEMS WITHOUT MCC|0.9434|2.9|3.6|11660.42|12360.00
582149128|553|No|No|08|MED|BONE DISEASES AND ARTHROPATHIES WITH MCC|1.2715|3.9|5.0|15715.74|12360.00
582149128|554|No|No|08|MED|BONE DISEASES AND ARTHROPATHIES WITHOUT MCC|0.7925|2.8|3.3|9795.30|12360.00
582149128|555|No|No|08|MED|SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|1.3685|3.8|5.1|16914.66|12360.00
582149128|556|No|No|08|MED|SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC|0.8087|2.6|3.2|9995.53|12360.00
582149128|557|Yes|No|08|MED|TENDONITIS -  MYOSITIS AND BURSITIS WITH MCC|1.3991|4.6|5.8|17292.88|12360.00
582149128|558|Yes|No|08|MED|TENDONITIS -  MYOSITIS AND BURSITIS WITHOUT MCC|0.8614|3.1|3.8|10646.90|12360.00
582149128|559|Yes|No|08|MED|AFTERCARE -  MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|1.8653|4.9|6.8|23055.11|12360.00
582149128|560|Yes|No|08|MED|AFTERCARE -  MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC|1.0760|3.7|5.0|13299.36|12360.00
582149128|561|Yes|No|08|MED|AFTERCARE -  MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC|0.7924|2.7|3.7|9794.06|12360.00
582149128|562|Yes|No|08|MED|FRACTURE -  SPRAIN -  STRAIN AND DISLOCATION EXCEPT FEMUR -  HIP -  PELVIS AND THIGH WITH MCC|1.4118|4.0|5.1|17449.85|12360.00
582149128|563|Yes|No|08|MED|FRACTURE -  SPRAIN -  STRAIN AND DISLOCATION EXCEPT FEMUR -  HIP -  PELVIS AND THIGH WITHOUT MCC|0.8722|3.0|3.5|10780.39|12360.00
582149128|564|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC|1.5236|4.6|5.8|18831.70|12360.00
582149128|565|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC|1.0093|3.4|4.1|12474.95|12360.00
582149128|566|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC|0.7519|2.5|3.0|9293.48|12360.00
582149128|570|Yes|No|09|SURG|SKIN DEBRIDEMENT WITH MCC|2.8417|7.3|9.5|35123.41|12360.00
582149128|571|Yes|No|09|SURG|SKIN DEBRIDEMENT WITH CC|1.6354|4.8|6.0|20213.54|12360.00
582149128|572|Yes|No|09|SURG|SKIN DEBRIDEMENT WITHOUT CC/MCC|1.1044|3.0|3.7|13650.38|12360.00
582149128|573|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC|5.5391|10.8|15.9|68463.28|12360.00
582149128|574|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC|3.2465|7.6|11.0|40126.74|12360.00
582149128|575|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC|1.7632|4.5|5.7|21793.15|12360.00
582149128|576|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC|5.0637|9.3|13.4|62587.33|12360.00
582149128|577|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC|2.5496|4.6|6.6|31513.06|12360.00
582149128|578|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC|1.5952|2.8|3.7|19716.67|12360.00
582149128|579|Yes|No|09|SURG|OTHER SKIN -  SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC|3.1449|7.3|9.9|38870.96|12360.00
582149128|580|Yes|No|09|SURG|OTHER SKIN -  SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC|1.7288|4.1|5.5|21367.97|12360.00
582149128|581|Yes|No|09|SURG|OTHER SKIN -  SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC|1.3768|2.2|2.8|17017.25|12360.00
582149128|582|No|No|09|SURG|MASTECTOMY FOR MALIGNANCY WITH CC/MCC|1.6431|2.3|3.1|20308.72|12360.00
582149128|583|No|No|09|SURG|MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC|1.5415|1.7|2.0|19052.94|12360.00
582149128|584|No|No|09|SURG|BREAST BIOPSY -  LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC|1.8367|3.5|4.4|22701.61|12360.00
582149128|585|No|No|09|SURG|BREAST BIOPSY -  LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC|1.7396|2.2|2.7|21501.46|12360.00
582149128|592|Yes|No|09|MED|SKIN ULCERS WITH MCC|1.6943|5.4|7.2|20941.55|12360.00
582149128|593|Yes|No|09|MED|SKIN ULCERS WITH CC|1.1406|4.1|5.3|14097.82|12360.00
582149128|594|Yes|No|09|MED|SKIN ULCERS WITHOUT CC/MCC|0.8160|3.2|4.0|10085.76|12360.00
582149128|595|No|No|09|MED|MAJOR SKIN DISORDERS WITH MCC|2.0165|5.5|7.5|24923.94|12360.00
582149128|596|No|No|09|MED|MAJOR SKIN DISORDERS WITHOUT MCC|0.9947|3.3|4.3|12294.49|12360.00
582149128|597|No|No|09|MED|MALIGNANT BREAST DISORDERS WITH MCC|1.6440|4.6|6.3|20319.84|12360.00
582149128|598|No|No|09|MED|MALIGNANT BREAST DISORDERS WITH CC|1.1129|3.3|4.5|13755.44|12360.00
582149128|599|No|No|09|MED|MALIGNANT BREAST DISORDERS WITHOUT CC/MCC|0.6714|2.5|3.2|8298.50|12360.00
582149128|600|No|No|09|MED|NON-MALIGNANT BREAST DISORDERS WITH CC/MCC|0.9969|3.5|4.3|12321.68|12360.00
582149128|601|No|No|09|MED|NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC|0.6868|2.8|3.3|8488.85|12360.00
582149128|602|Yes|No|09|MED|CELLULITIS WITH MCC|1.4500|4.6|5.8|17922.00|12360.00
582149128|603|Yes|No|09|MED|CELLULITIS WITHOUT MCC|0.8536|3.2|3.8|10550.50|12360.00
582149128|604|No|No|09|MED|TRAUMA TO THE SKIN -  SUBCUTANEOUS TISSUE AND BREAST WITH MCC|1.4779|3.8|5.1|18266.84|12360.00
582149128|605|No|No|09|MED|TRAUMA TO THE SKIN -  SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC|0.9039|2.7|3.3|11172.20|12360.00
582149128|606|No|No|09|MED|MINOR SKIN DISORDERS WITH MCC|1.5121|4.3|6.0|18689.56|12360.00
582149128|607|No|No|09|MED|MINOR SKIN DISORDERS WITHOUT MCC|0.8282|2.9|3.6|10236.55|12360.00
582149128|614|No|No|10|SURG|ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC|2.3897|3.2|4.6|29536.69|12360.00
582149128|615|No|No|10|SURG|ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC|1.5750|1.8|2.2|19467.00|12360.00
582149128|616|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE -  NUTRITIONAL AND METABOLIC DISORDERS WITH MCC|3.9662|10.0|12.3|49022.23|12360.00
582149128|617|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE -  NUTRITIONAL AND METABOLIC DISORDERS WITH CC|2.0298|5.8|7.0|25088.33|12360.00
582149128|618|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE -  NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC|1.3032|4.2|4.8|16107.55|12360.00
582149128|619|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITH MCC|3.0617|2.8|4.7|37842.61|12360.00
582149128|620|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITH CC|1.7627|1.8|2.2|21786.97|12360.00
582149128|621|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC|1.5971|1.4|1.6|19740.16|12360.00
582149128|622|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE -  NUTRITIONAL AND METABOLIC DISORDERS WITH MCC|3.6149|8.3|11.1|44680.16|12360.00
582149128|623|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE -  NUTRITIONAL AND METABOLIC DISORDERS WITH CC|1.8715|5.3|6.5|23131.74|12360.00
582149128|624|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE -  NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC|1.0989|3.2|3.9|13582.40|12360.00
582149128|625|No|No|10|SURG|THYROID -  PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC|2.8402|4.8|7.0|35104.87|12360.00
582149128|626|No|No|10|SURG|THYROID -  PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC|1.6529|2.3|3.3|20429.84|12360.00
582149128|627|No|No|10|SURG|THYROID -  PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC|1.1828|1.4|1.7|14619.41|12360.00
582149128|628|Yes|No|10|SURG|OTHER ENDOCRINE -  NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC|3.6794|7.4|10.4|45477.38|12360.00
582149128|629|Yes|No|10|SURG|OTHER ENDOCRINE -  NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC|2.3453|6.1|7.3|28987.91|12360.00
582149128|630|Yes|No|10|SURG|OTHER ENDOCRINE -  NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC|1.4093|2.3|3.0|17418.95|12360.00
582149128|637|Yes|No|10|MED|DIABETES WITH MCC|1.3766|3.8|5.0|17014.78|12360.00
582149128|638|Yes|No|10|MED|DIABETES WITH CC|0.8794|2.9|3.6|10869.38|12360.00
582149128|639|Yes|No|10|MED|DIABETES WITHOUT CC/MCC|0.6096|2.1|2.5|7534.66|12360.00
582149128|640|Yes|No|10|MED|MISCELLANEOUS DISORDERS OF NUTRITION -  METABOLISM -  FLUIDS AND ELECTROLYTES WITH MCC|1.2308|3.3|4.5|15212.69|12360.00
582149128|641|Yes|No|10|MED|MISCELLANEOUS DISORDERS OF NUTRITION -  METABOLISM -  FLUIDS AND ELECTROLYTES WITHOUT MCC|0.7542|2.6|3.2|9321.91|12360.00
582149128|642|No|No|10|MED|INBORN AND OTHER DISORDERS OF METABOLISM|1.2898|3.3|4.4|15941.93|12360.00
582149128|643|Yes|No|10|MED|ENDOCRINE DISORDERS WITH MCC|1.6677|5.0|6.3|20612.77|12360.00
582149128|644|Yes|No|10|MED|ENDOCRINE DISORDERS WITH CC|1.0198|3.5|4.2|12604.73|12360.00
582149128|645|Yes|No|10|MED|ENDOCRINE DISORDERS WITHOUT CC/MCC|0.7686|2.7|3.2|9499.90|12360.00
582149128|650|No|No|11|SURG|KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC|4.5207|6.8|8.3|55875.85|12360.00
582149128|651|No|No|11|SURG|KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC|3.6984|6.0|6.8|45712.22|12360.00
582149128|652|No|No|11|SURG|KIDNEY TRANSPLANT|3.1851|4.7|5.3|39367.84|12360.00
582149128|653|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITH MCC|5.4592|10.2|13.0|67475.71|12360.00
582149128|654|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITH CC|2.9028|5.6|6.7|35878.61|12360.00
582149128|655|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITHOUT CC/MCC|2.0803|3.6|4.2|25712.51|12360.00
582149128|656|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC|3.2850|5.6|7.6|40602.60|12360.00
582149128|657|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC|1.9347|3.2|4.0|23912.89|12360.00
582149128|658|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC|1.5779|2.1|2.3|19502.84|12360.00
582149128|659|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC|2.6664|5.9|7.9|32956.70|12360.00
582149128|660|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC|1.4431|3.1|4.0|17836.72|12360.00
582149128|661|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC|1.0637|1.9|2.2|13147.33|12360.00
582149128|662|No|No|11|SURG|MINOR BLADDER PROCEDURES WITH MCC|2.9373|6.9|9.6|36305.03|12360.00
582149128|663|No|No|11|SURG|MINOR BLADDER PROCEDURES WITH CC|1.5995|3.7|5.0|19769.82|12360.00
582149128|664|No|No|11|SURG|MINOR BLADDER PROCEDURES WITHOUT CC/MCC|1.1838|1.9|2.4|14631.77|12360.00
582149128|665|No|No|11|SURG|PROSTATECTOMY WITH MCC|3.0417|7.6|9.7|37595.41|12360.00
582149128|666|No|No|11|SURG|PROSTATECTOMY WITH CC|1.7397|4.0|5.3|21502.69|12360.00
582149128|667|No|No|11|SURG|PROSTATECTOMY WITHOUT CC/MCC|0.9975|2.0|2.5|12329.10|12360.00
582149128|668|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITH MCC|2.8063|7.1|9.3|34685.87|12360.00
582149128|669|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITH CC|1.5635|3.8|4.9|19324.86|12360.00
582149128|670|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITHOUT CC/MCC|0.9785|2.1|2.6|12094.26|12360.00
582149128|671|No|No|11|SURG|URETHRAL PROCEDURES WITH CC/MCC|1.7813|3.9|5.8|22016.87|12360.00
582149128|672|No|No|11|SURG|URETHRAL PROCEDURES WITHOUT CC/MCC|1.1504|1.6|2.0|14218.94|12360.00
582149128|673|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC|3.4683|7.7|10.5|42868.19|12360.00
582149128|674|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC|2.3832|5.9|7.6|29456.35|12360.00
582149128|675|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC|1.7547|2.7|3.7|21688.09|12360.00
582149128|682|Yes|No|11|MED|RENAL FAILURE WITH MCC|1.4727|4.3|5.7|18202.57|12360.00
582149128|683|Yes|No|11|MED|RENAL FAILURE WITH CC|0.8793|3.1|3.8|10868.15|12360.00
582149128|684|Yes|No|11|MED|RENAL FAILURE WITHOUT CC/MCC|0.6079|2.2|2.6|7513.64|12360.00
582149128|686|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC|1.8753|5.0|7.0|23178.71|12360.00
582149128|687|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITH CC|1.0501|3.3|4.3|12979.24|12360.00
582149128|688|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC|0.6858|1.9|2.2|8476.49|12360.00
582149128|689|Yes|No|11|MED|KIDNEY AND URINARY TRACT INFECTIONS WITH MCC|1.1142|3.8|4.7|13771.51|12360.00
582149128|690|Yes|No|11|MED|KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC|0.7940|2.9|3.5|9813.84|12360.00
582149128|693|No|No|11|MED|URINARY STONES WITH MCC|1.3355|3.7|5.0|16506.78|12360.00
582149128|694|No|No|11|MED|URINARY STONES WITHOUT MCC|0.7712|2.1|2.6|9532.03|12360.00
582149128|695|No|No|11|MED|KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC|1.1377|3.6|4.7|14061.97|12360.00
582149128|696|No|No|11|MED|KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC|0.6919|2.3|2.9|8551.88|12360.00
582149128|697|No|No|11|MED|URETHRAL STRICTURE|0.9993|2.8|3.6|12351.35|12360.00
582149128|698|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC|1.6106|4.7|6.0|19907.02|12360.00
582149128|699|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC|1.0270|3.3|4.1|12693.72|12360.00
582149128|700|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC|0.7465|2.4|2.9|9226.74|12360.00
582149128|707|No|No|12|SURG|MAJOR MALE PELVIC PROCEDURES WITH CC/MCC|1.9222|2.5|3.4|23758.39|12360.00
582149128|708|No|No|12|SURG|MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC|1.4912|1.4|1.6|18431.23|12360.00
582149128|709|No|No|12|SURG|PENIS PROCEDURES WITH CC/MCC|2.3159|4.0|6.5|28624.52|12360.00
582149128|710|No|No|12|SURG|PENIS PROCEDURES WITHOUT CC/MCC|1.6016|1.7|2.1|19795.78|12360.00
582149128|711|No|No|12|SURG|TESTES PROCEDURES WITH CC/MCC|2.1316|5.3|7.4|26346.58|12360.00
582149128|712|No|No|12|SURG|TESTES PROCEDURES WITHOUT CC/MCC|1.0600|2.5|3.1|13101.60|12360.00
582149128|713|No|No|12|SURG|TRANSURETHRAL PROSTATECTOMY WITH CC/MCC|1.4934|2.8|4.0|18458.42|12360.00
582149128|714|No|No|12|SURG|TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC|0.9288|1.6|1.9|11479.97|12360.00
582149128|715|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC|2.0216|5.0|6.8|24986.98|12360.00
582149128|716|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC|1.2758|1.4|1.6|15768.89|12360.00
582149128|717|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC|1.8006|3.7|5.2|22255.42|12360.00
582149128|718|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC|1.2346|2.2|2.7|15259.66|12360.00
582149128|722|No|No|12|MED|MALIGNANCY -  MALE REPRODUCTIVE SYSTEM WITH MCC|1.7126|5.1|7.1|21167.74|12360.00
582149128|723|No|No|12|MED|MALIGNANCY -  MALE REPRODUCTIVE SYSTEM WITH CC|1.0919|3.5|4.5|13495.88|12360.00
582149128|724|No|No|12|MED|MALIGNANCY -  MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.6481|1.8|2.3|8010.52|12360.00
582149128|725|No|No|12|MED|BENIGN PROSTATIC HYPERTROPHY WITH MCC|1.2855|4.0|5.4|15888.78|12360.00
582149128|726|No|No|12|MED|BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC|0.7447|2.5|3.1|9204.49|12360.00
582149128|727|No|No|12|MED|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC|1.4210|4.4|5.6|17563.56|12360.00
582149128|728|No|No|12|MED|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC|0.8057|3.0|3.6|9958.45|12360.00
582149128|729|No|No|12|MED|OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC|1.0075|3.1|4.1|12452.70|12360.00
582149128|730|No|No|12|MED|OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC|0.5689|1.8|2.2|7031.60|12360.00
582149128|734|No|No|13|SURG|PELVIC EVISCERATION -  RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC|2.2243|3.5|5.0|27492.35|12360.00
582149128|735|No|No|13|SURG|PELVIC EVISCERATION -  RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC|1.4136|1.7|2.0|17472.10|12360.00
582149128|736|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC|4.2607|8.4|10.5|52662.25|12360.00
582149128|737|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC|2.0581|4.2|4.9|25438.12|12360.00
582149128|738|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC|1.4759|2.6|2.9|18242.12|12360.00
582149128|739|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC|3.8240|6.6|9.5|47264.64|12360.00
582149128|740|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC|1.8016|2.8|3.7|22267.78|12360.00
582149128|741|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC|1.2799|1.6|1.9|15819.56|12360.00
582149128|742|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC|1.7181|2.8|3.8|21235.72|12360.00
582149128|743|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC|1.1328|1.7|1.9|14001.41|12360.00
582149128|744|No|No|13|SURG|D&C -  CONIZATION -  LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC|1.7954|4.4|5.9|22191.14|12360.00
582149128|745|No|No|13|SURG|D&C -  CONIZATION -  LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC|1.1700|2.2|2.6|14461.20|12360.00
582149128|746|No|No|13|SURG|VAGINA -  CERVIX AND VULVA PROCEDURES WITH CC/MCC|1.6115|3.2|4.9|19918.14|12360.00
582149128|747|No|No|13|SURG|VAGINA -  CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC|0.9391|1.5|1.8|11607.28|12360.00
582149128|748|No|No|13|SURG|FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES|1.3476|1.6|2.0|16656.34|12360.00
582149128|749|No|No|13|SURG|OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC|2.7138|5.6|7.7|33542.57|12360.00
582149128|750|No|No|13|SURG|OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.4638|2.3|2.8|18092.57|12360.00
582149128|754|No|No|13|MED|MALIGNANCY -  FEMALE REPRODUCTIVE SYSTEM WITH MCC|1.8262|5.0|7.0|22571.83|12360.00
582149128|755|No|No|13|MED|MALIGNANCY -  FEMALE REPRODUCTIVE SYSTEM WITH CC|1.1293|3.3|4.3|13958.15|12360.00
582149128|756|No|No|13|MED|MALIGNANCY -  FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.9184|2.1|2.5|11351.42|12360.00
582149128|757|No|No|13|MED|INFECTIONS -  FEMALE REPRODUCTIVE SYSTEM WITH MCC|1.5247|4.7|6.3|18845.29|12360.00
582149128|758|No|No|13|MED|INFECTIONS -  FEMALE REPRODUCTIVE SYSTEM WITH CC|0.9697|3.6|4.4|11985.49|12360.00
582149128|759|No|No|13|MED|INFECTIONS -  FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.6834|2.7|3.2|8446.82|12360.00
582149128|760|No|No|13|MED|MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC|0.9201|2.6|3.4|11372.44|12360.00
582149128|761|No|No|13|MED|MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC|0.5908|1.8|2.3|7302.29|12360.00
582149128|768|No|No|14|SURG|VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C|1.1696|3.1|4.5|14456.26|12360.00
582149128|769|No|No|14|SURG|POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES|1.6176|2.9|4.3|19993.54|12360.00
582149128|770|No|No|14|SURG|ABORTION WITH D&C -  ASPIRATION CURETTAGE OR HYSTEROTOMY|0.8898|1.8|2.3|10997.93|12360.00
582149128|776|No|No|14|MED|POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES|0.7745|2.5|3.4|9572.82|12360.00
582149128|779|No|No|14|MED|ABORTION WITHOUT D&C|1.0590|2.0|2.9|13089.24|12360.00
582149128|783|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITH MCC|1.8749|4.8|7.2|23173.76|12360.00
582149128|784|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITH CC|1.0959|3.3|4.4|13545.32|12360.00
582149128|785|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC|0.9168|2.7|3.3|11331.65|12360.00
582149128|786|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITH MCC|1.5944|4.3|5.7|19706.78|12360.00
582149128|787|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITH CC|1.0644|3.5|4.1|13155.98|12360.00
582149128|788|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC|0.8874|3.0|3.2|10968.26|12360.00
582149128|789|No|No|15|MED|NEONATES -  DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY|1.7200|1.8|1.8|21259.20|12360.00
582149128|790|No|No|15|MED|EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME -  NEONATE|5.6721|17.9|17.9|70107.16|12360.00
582149128|791|No|No|15|MED|PREMATURITY WITH MAJOR PROBLEMS|3.8738|13.3|13.3|47880.17|12360.00
582149128|792|No|No|15|MED|PREMATURITY WITHOUT MAJOR PROBLEMS|2.3374|8.6|8.6|28890.26|12360.00
582149128|793|No|No|15|MED|FULL TERM NEONATE WITH MAJOR PROBLEMS|3.9792|4.7|4.7|49182.91|12360.00
582149128|794|No|No|15|MED|NEONATE WITH OTHER SIGNIFICANT PROBLEMS|1.4084|3.4|3.4|17407.82|12360.00
582149128|795|No|No|15|MED|NORMAL NEWBORN|0.1907|3.1|3.1|2357.05|12360.00
582149128|796|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC|1.0708|3.6|5.7|13235.09|12360.00
582149128|797|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC|0.9194|2.4|2.6|11363.78|12360.00
582149128|798|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC|0.8275|2.1|2.3|10227.90|12360.00
582149128|799|No|No|16|SURG|SPLENECTOMY WITH MCC|5.1474|7.8|10.7|63621.86|12360.00
582149128|800|No|No|16|SURG|SPLENECTOMY WITH CC|2.9539|5.0|6.4|36510.20|12360.00
582149128|801|No|No|16|SURG|SPLENECTOMY WITHOUT CC/MCC|1.6840|2.6|3.1|20814.24|12360.00
582149128|802|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC|3.7117|7.5|11.0|45876.61|12360.00
582149128|803|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC|1.8865|3.9|5.2|23317.14|12360.00
582149128|804|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC|1.3659|2.0|2.5|16882.52|12360.00
582149128|805|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC|1.0299|2.9|4.0|12729.56|12360.00
582149128|806|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC|0.7346|2.3|2.7|9079.66|12360.00
582149128|807|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC|0.6423|2.1|2.3|7938.83|12360.00
582149128|808|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC|2.1858|5.4|7.3|27016.49|12360.00
582149128|809|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC|1.2234|3.5|4.4|15121.22|12360.00
582149128|810|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC|0.9617|2.5|3.2|11886.61|12360.00
582149128|811|No|No|16|MED|RED BLOOD CELL DISORDERS WITH MCC|1.3793|3.6|4.8|17048.15|12360.00
582149128|812|No|No|16|MED|RED BLOOD CELL DISORDERS WITHOUT MCC|0.8803|2.7|3.4|10880.51|12360.00
582149128|813|No|No|16|MED|COAGULATION DISORDERS|1.5451|3.6|4.7|19097.44|12360.00
582149128|814|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC|1.8917|4.5|6.5|23381.41|12360.00
582149128|815|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC|0.9934|2.9|3.8|12278.42|12360.00
582149128|816|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC|0.6611|2.2|2.6|8171.20|12360.00
582149128|817|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC|2.3068|4.1|6.6|28512.05|12360.00
582149128|818|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC|1.3598|3.0|4.2|16807.13|12360.00
582149128|819|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC|0.9872|1.7|2.1|12201.79|12360.00
582149128|820|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC|5.6917|10.6|14.7|70349.41|12360.00
582149128|821|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC|2.1552|3.7|5.4|26638.27|12360.00
582149128|822|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.2515|1.8|2.3|15468.54|12360.00
582149128|823|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC|4.5018|10.3|13.6|55642.25|12360.00
582149128|824|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC|2.3644|5.3|7.1|29223.98|12360.00
582149128|825|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC|1.4015|2.4|3.4|17322.54|12360.00
582149128|826|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC|5.0445|9.9|13.5|62350.02|12360.00
582149128|827|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC|2.5006|4.9|6.2|30907.42|12360.00
582149128|828|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.6740|2.8|3.4|20690.64|12360.00
582149128|829|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC|3.2084|6.2|9.0|39655.82|12360.00
582149128|830|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC|1.4820|2.3|2.9|18317.52|12360.00
582149128|831|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC|1.1218|3.4|4.7|13865.45|12360.00
582149128|832|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC|0.7783|2.5|4.0|9619.79|12360.00
582149128|833|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC|0.5370|1.9|2.7|6637.32|12360.00
582149128|834|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC|6.0522|10.0|16.6|74805.19|12360.00
582149128|835|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC|2.1137|4.2|6.6|26125.33|12360.00
582149128|836|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.1735|2.7|3.9|14504.46|12360.00
582149128|837|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC|5.6993|11.5|17.1|70443.35|12360.00
582149128|838|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT|2.2602|5.5|7.3|27936.07|12360.00
582149128|839|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC|1.4872|4.4|4.9|18381.79|12360.00
582149128|840|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC|3.2205|6.7|9.6|39805.38|12360.00
582149128|841|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC|1.6216|4.0|5.4|20042.98|12360.00
582149128|842|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC|1.0970|2.8|3.6|13558.92|12360.00
582149128|843|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC|1.9076|5.3|7.3|23577.94|12360.00
582149128|844|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC|1.1842|3.6|4.7|14636.71|12360.00
582149128|845|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC|0.8489|2.6|3.4|10492.40|12360.00
582149128|846|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC|2.6729|5.9|7.9|33037.04|12360.00
582149128|847|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC|1.3361|3.6|4.1|16514.20|12360.00
582149128|848|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC|1.0323|3.0|3.5|12759.23|12360.00
582149128|849|No|No|17|MED|RADIOTHERAPY|2.4936|6.2|9.3|30820.90|12360.00
582149128|853|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC|4.9678|9.6|12.5|61402.01|12360.00
582149128|854|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC|2.1222|5.3|6.6|26230.39|12360.00
582149128|855|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC|1.5198|3.3|4.1|18784.73|12360.00
582149128|856|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC|4.6639|9.2|12.3|57645.80|12360.00
582149128|857|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC|2.1024|5.4|6.7|25985.66|12360.00
582149128|858|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC|1.3596|3.5|4.4|16804.66|12360.00
582149128|862|Yes|No|18|MED|POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC|1.8967|5.0|6.7|23443.21|12360.00
582149128|863|Yes|No|18|MED|POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC|1.0114|3.5|4.2|12500.90|12360.00
582149128|864|No|No|18|MED|FEVER AND INFLAMMATORY CONDITIONS|0.8765|2.7|3.3|10833.54|12360.00
582149128|865|No|No|18|MED|VIRAL ILLNESS WITH MCC|1.4778|3.9|5.5|18265.61|12360.00
582149128|866|No|No|18|MED|VIRAL ILLNESS WITHOUT MCC|0.8390|2.7|3.4|10370.04|12360.00
582149128|867|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC|2.2371|5.5|7.6|27650.56|12360.00
582149128|868|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC|1.0660|3.5|4.4|13175.76|12360.00
582149128|869|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC|0.7285|2.5|3.0|9004.26|12360.00
582149128|870|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS|6.4390|12.4|14.5|79586.04|12360.00
582149128|871|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC|1.8722|4.8|6.2|23140.39|12360.00
582149128|872|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC|1.0263|3.5|4.2|12685.07|12360.00
582149128|876|No|No|19|SURG|O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS|3.2680|7.0|13.7|40392.48|12360.00
582149128|880|No|No|19|MED|ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION|0.8645|2.6|3.7|10685.22|12360.00
582149128|881|No|No|19|MED|DEPRESSIVE NEUROSES|0.8020|3.9|5.3|9912.72|12360.00
582149128|882|No|No|19|MED|NEUROSES EXCEPT DEPRESSIVE|0.8236|3.2|4.7|10179.70|12360.00
582149128|883|No|No|19|MED|DISORDERS OF PERSONALITY AND IMPULSE CONTROL|1.5818|5.1|9.8|19551.05|12360.00
582149128|884|Yes|No|19|MED|ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY|1.4473|4.5|7.3|17888.63|12360.00
582149128|885|No|No|19|MED|PSYCHOSES|1.2394|5.9|8.8|15318.98|12360.00
582149128|886|No|No|19|MED|BEHAVIORAL AND DEVELOPMENTAL DISORDERS|1.2237|4.3|7.6|15124.93|12360.00
582149128|887|No|No|19|MED|OTHER MENTAL DISORDER DIAGNOSES|1.0798|3.0|4.7|13346.33|12360.00
582149128|894|No|No|20|MED|ALCOHOL -  DRUG ABUSE OR DEPENDENCE -  LEFT AMA|0.5490|2.0|2.7|6785.64|12360.00
582149128|895|No|No|20|MED|ALCOHOL -  DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY|1.5992|8.9|11.9|19766.11|12360.00
582149128|896|Yes|No|20|MED|ALCOHOL -  DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC|1.7803|4.9|7.0|22004.51|12360.00
582149128|897|Yes|No|20|MED|ALCOHOL -  DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC|0.8270|3.4|4.3|10221.72|12360.00
582149128|901|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITH MCC|4.2687|8.8|12.9|52761.13|12360.00
582149128|902|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITH CC|1.9643|4.8|6.6|24278.75|12360.00
582149128|903|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC|1.1353|2.6|3.4|14032.31|12360.00
582149128|904|No|No|21|SURG|SKIN GRAFTS FOR INJURIES WITH CC/MCC|3.7270|7.1|10.6|46065.72|12360.00
582149128|905|No|No|21|SURG|SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC|1.6500|3.3|4.3|20394.00|12360.00
582149128|906|No|No|21|SURG|HAND PROCEDURES FOR INJURIES|1.8038|2.8|4.5|22294.97|12360.00
582149128|907|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITH MCC|3.9482|6.8|9.6|48799.75|12360.00
582149128|908|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITH CC|2.0504|3.9|5.2|25342.94|12360.00
582149128|909|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC|1.3710|2.4|2.9|16945.56|12360.00
582149128|913|No|No|21|MED|TRAUMATIC INJURY WITH MCC|1.6386|3.7|5.5|20253.10|12360.00
582149128|914|No|No|21|MED|TRAUMATIC INJURY WITHOUT MCC|0.8869|2.5|3.2|10962.08|12360.00
582149128|915|No|No|21|MED|ALLERGIC REACTIONS WITH MCC|1.6995|3.7|5.0|21005.82|12360.00
582149128|916|No|No|21|MED|ALLERGIC REACTIONS WITHOUT MCC|0.6584|1.8|2.2|8137.82|12360.00
582149128|917|Yes|No|21|MED|POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC|1.4785|3.5|4.9|18274.26|12360.00
582149128|918|Yes|No|21|MED|POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC|0.7916|2.3|3.1|9784.18|12360.00
582149128|919|No|No|21|MED|COMPLICATIONS OF TREATMENT WITH MCC|1.8441|4.3|6.0|22793.08|12360.00
582149128|920|No|No|21|MED|COMPLICATIONS OF TREATMENT WITH CC|1.0246|2.9|3.8|12664.06|12360.00
582149128|921|No|No|21|MED|COMPLICATIONS OF TREATMENT WITHOUT CC/MCC|0.6979|2.1|2.6|8626.04|12360.00
582149128|922|No|No|21|MED|OTHER INJURY -  POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC|1.5882|4.1|6.3|19630.15|12360.00
582149128|923|No|No|21|MED|OTHER INJURY -  POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC|0.9398|2.7|4.3|11615.93|12360.00
582149128|927|No|No|22|SURG|EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT|21.0913|26.0|35.4|260688.47|12360.00
582149128|928|No|No|22|SURG|FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC|6.5316|11.7|16.4|80730.58|12360.00
582149128|929|No|No|22|SURG|FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC|3.0139|5.9|7.9|37251.80|12360.00
582149128|933|No|No|22|MED|EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT|2.2629|2.4|4.1|27969.44|12360.00
582149128|934|No|No|22|MED|FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY|1.9409|4.3|6.8|23989.52|12360.00
582149128|935|No|No|22|MED|NON-EXTENSIVE BURNS|1.9329|3.6|5.5|23890.64|12360.00
582149128|939|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC|3.3746|6.6|9.8|41710.06|12360.00
582149128|940|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC|2.2209|3.5|4.9|27450.32|12360.00
582149128|941|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC|1.9231|2.2|2.8|23769.52|12360.00
582149128|945|Yes|No|23|MED|REHABILITATION WITH CC/MCC|1.4819|5.0|7.1|18316.28|12360.00
582149128|946|Yes|No|23|MED|REHABILITATION WITHOUT CC/MCC|1.1262|3.2|4.3|13919.83|12360.00
582149128|947|Yes|No|23|MED|SIGNS AND SYMPTOMS WITH MCC|1.1940|3.5|4.8|14757.84|12360.00
582149128|948|Yes|No|23|MED|SIGNS AND SYMPTOMS WITHOUT MCC|0.7871|2.6|3.3|9728.56|12360.00
582149128|949|No|No|23|MED|AFTERCARE WITH CC/MCC|1.1099|4.3|6.1|13718.36|12360.00
582149128|950|No|No|23|MED|AFTERCARE WITHOUT CC/MCC|0.7402|3.0|4.3|9148.87|12360.00
582149128|951|No|No|23|MED|OTHER FACTORS INFLUENCING HEALTH STATUS|0.5596|1.8|2.6|6916.66|12360.00
582149128|955|No|No|24|SURG|CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA|6.2893|7.3|11.1|77735.75|12360.00
582149128|956|Yes|No|24|SURG|LIMB REATTACHMENT -  HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA|3.8500|6.0|7.4|47586.00|12360.00
582149128|957|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC|7.4209|9.1|13.1|91722.32|12360.00
582149128|958|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC|4.2057|6.7|8.2|51982.45|12360.00
582149128|959|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC|2.7361|4.2|5.1|33818.20|12360.00
582149128|963|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC|2.7299|5.2|7.6|33741.56|12360.00
582149128|964|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC|1.4918|3.9|4.9|18438.65|12360.00
582149128|965|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC|0.9125|2.6|3.1|11278.50|12360.00
582149128|969|No|No|25|SURG|HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC|5.8519|11.1|15.5|72329.48|12360.00
582149128|970|No|No|25|SURG|HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC|2.9887|6.6|8.9|36940.33|12360.00
582149128|974|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITH MCC|2.6905|6.3|8.8|33254.58|12360.00
582149128|975|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITH CC|1.2821|4.0|5.3|15846.76|12360.00
582149128|976|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC|0.9496|3.0|4.4|11737.06|12360.00
582149128|977|No|No|25|MED|HIV WITH OR WITHOUT OTHER RELATED CONDITION|1.3243|3.6|5.0|16368.35|12360.00
582149128|981|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC|4.6145|8.4|11.7|57035.22|12360.00
582149128|982|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC|2.5366|4.6|6.2|31352.38|12360.00
582149128|983|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.6523|2.3|3.0|20422.43|12360.00
582149128|987|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC|3.2759|7.7|10.4|40490.12|12360.00
582149128|988|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC|1.7064|4.3|5.6|21091.10|12360.00
582149128|989|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.1236|2.3|3|13887.70|12360.00
582149128|998|No|No| |**|PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS|.||||12360.00
582149128|999|No|No| |**|UNGROUPABLE|.||||12360.00